Carmelle Dorothy Phillips, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00366600 Issued in NJ

Practice address

328 Liberty Ave
Jersey City, NJ 07307-4428

Phone

(917) 294-6002

NPI assigned

Sep 15, 2007

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carmelle Dorothy Dely Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strideability LLC

  • Occupational Therapist
  • Jersey City, NJ
  • NPI 1700380011
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1235325044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 LIBERTY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074428",
            "telephone_number": "917-294-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 LIBERTY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074428",
            "telephone_number": "917-294-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Park Ave",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070175248",
            "country_code": "US",
            "telephone_number": "973-677-1500 x244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARMELLE",
        "middle_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00366600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMELLE",
            "last_name": "DELY",
            "middle_name": "DOROTHY",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Pettick-Perez, LMHC
• Pha4 LLC
• Pha4 LLC
• Michael M Pham, M.D.
• Phasebdevelopment
• Michael Hung Phung, MD
• Physical Medicine and Rehabilitation Services
• Physical Medicine and Rehabilitation SVCS of Hudson Countyp.a
• Physician Partners of Englewood, PC
• Kristine Pianeta, OD

• Occupational Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.